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General NPI Number Information
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NPI Number | 1932874781
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Entity Type | Organization
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Legal Business Name | FREEHOLD CHILD DIAGNOSTIC CENTER, INC.
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 501 IRON BRIDGE RD STE 6
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City | FREEHOLD
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State | NJ
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Zip | 07728-5305
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Country | US
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Telephone | 732-761-1900
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Fax | 732-761-2388
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Provider Business Mailing Address
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Address Line | 501 IRON BRIDGE RD STE 6
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City | FREEHOLD
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State | NJ
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Zip | 07728-5305
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Country | US
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Telephone | 732-761-1900
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Fax | 732-761-2388
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Authorized Official
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Title or Position | OWNER
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Name | SYED SAJJAD ZAIDI
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Credential | MD
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Telephone | 732-761-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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